Zicabange uya esitolo noma uhamba ibanga elifushane nje. Ngemva kokuhamba ibanga elifushane, ngokuzumayo uzwa ubuhlungu obukhulu emlenzeni wakho, njengokungathi imilenze yakho iyaphela amandla. Ngemva kokuma isikhashana, ubuhlungu buyaphela. Uma uqala ukuhamba futhi, ubuhlungu obufanayo buyabuya ngemva kokuhamba ibanga elifushane. Uke waba nalokhu okuhlangenwe nakho? Noma ingabe othile omaziyo unalolu hlobo lokungakhululeki? Imbangela yalokhu ingaba uhlobo oluthile lokuvaleka kwemithambo yegazi ethwala igazi liye emilenzeni. Ngakho-ke, esimweni esinjalo, namuhla sizokhuluma ngokuhlolwa okulula kakhulu, okungenabuhlungu okungasiza udokotela wakho ukuthola imbangela eqondile. Leso ukuhlolwa kwe-PVR.
Kalula nje, kuyini ukuqoshwa kwevolumu ye-Pulse (PVR)?
Ukuqoshwa Kwevolumu Ye-Pulse, noma ukuhlolwa kwe-PVR ngamafuphi, ukuhlolwa okulinganisa ukuthi igazi lihamba kanjani emithanjeni yegazi (imithambo yegazi) emilenzeni yakho, ukuthi ngabe ukugeleza kwegazi kuhle yini, noma ukuthi kukhona yini ukuvaleka endaweni ethile.
Into engcono kakhulu ngalokhu ukuthi ukuhlolwa okungahlaseli okungabandakanyi ubuhlungu, ukusikeka, noma izinaliti . Uma sikhuluma iqiniso, kwenziwa kusetshenziswa amaza omsindo avame kakhulu, noma ubuchwepheshe be-`(Ultrasound)`. Ngakho-ke akukho okufanele ukhathazeke ngakho. Ngezinye izikhathi lokhu kuhlolwa kubizwa nangokuthi `(pulse volume plethysmography)`.
Kungani udokotela angakutshela ukuthi wenze ukuhlolwa kwe-PVR?
Ngokuvamile, udokotela uzoncoma lolu vivinyo ukuze anqume ukuthi unesifo esibizwa ngokuthi i-Peripheral Artery Disease (PAD) , noma ukuze ahlole isigaba salesi simo.
Ngakho-ke iyini le PAD?
Kalula nje, i-PAD ukuncipha kancane kancane kwemithambo yegazi (imithambo yegazi) ethwala igazi elihlanzekile lisuka enhliziyweni yethu liye emilenzeni yethu. Imbangela eyinhloko yalokhu i -atherosclerosis . Lokhu kusho ukuthi ngokuhamba kwesikhathi, i-cholesterol nezinye izinto ezinamafutha (i-plaque) zakha ezindongeni zemithambo yegazi, zivimbele ukugeleza kwegazi. Lapho ukugeleza kwegazi kuvinjelwa kanje, lapho imilenze yakho idinga igazi elengeziwe, njengalapho uhamba, ayikwazi ukuhlangabezana naleso sidingo. Yilapho-ke ubuhlungu, njengoba kushiwo ngaphambili, bufika khona.
Ukuhlolwa kwe-PVR kungenza lokhu:
- Thola ukuthi ukuvaleka kukuphi emithanjeni yegazi emilenzeni yakho.
- Thola izindawo lapho kukhona khona amahlule egazi noma ezinye izithiyo.
- Thola imbangela eqondile yobuhlungu emilenzeni uma uhamba.
Kwezinye izimo ezingavamile, lokhu kuhlolwa kungasetshenziswa futhi ukuthola izinkinga ngemithambo yegazi ezingalweni noma eminweni kanye nezimo ezifana ne-Thoracic Outlet Syndrome (TOS).
Ingabe i-PVR iyindlela kuphela yokuthola i-PAD?
Cha. I-PVR ingenye nje yezivivinyo zemithambo yegazi ezingahlaseli. Udokotela wakho angase ancome ezinye izivivinyo kanye ne-PVR. Ake sibheke lezo.
| Igama lokuhlolwa | Indlela yokukwenza kalula | Lokho ongakufunda kulokhu |
|---|---|---|
| Ukuhlolwa kwe-PVR | Ama-cuff omfutho wegazi abekwa ezindaweni eziningana emlenzeni nasengalweni, futhi ijubane kanye nomthamo wokugeleza kwegazi kulinganiswa kusetshenziswa i-ultrasound. | Kunganquma cishe ukuthi imithambo yegazi emilenzeni ivalekile kuphi. Kunikeza imiphumela enembile kakhulu kubantu abanesifo sikashukela. |
| Inkomba ye-Ankle-brachial (ABI) | Umfutho wegazi ulinganiswa eqakaleni nasengalweni, bese kuqhathaniswa amanani amabili. | Ukuhlolwa okuyinhloko nokulula kakhulu kokuthola ukuthi i-PAD ikhona noma cha. Akunamininingwane eminingi njenge-PVR. |
| I-Arterial Duplex Ultrasound | Idivayisi ephathwa ngesandla (i-transducer) isetshenziswa ukudala umdwebo wemithambo yegazi emlenzeni bese uyibuka esikrinini sekhompyutha. | Ungabona kahle ukuthi yimuphi umthambo wegazi ovalekile nokuthi kuphi. |
| Ukuhlolwa Kokucindezeleka Kokuzivocavoca | Umfutho wegazi ulinganiswa emilenzeni ngaphambi nangemva kokuzivocavoca ngokuhamba nge-treadmill. | Kuyasiza ukuthola inkinga kubantu abavame ukungabi nazimpawu kodwa abazwa ubuhlungu kuphela lapho behamba. |
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa kwe-PVR?
Akukho okukhethekile ongakulungiselela. Kulula kakhulu. Kodwa-ke, udokotela wakho angase athi:
- Kufanele ugweme ukubhema amahora ambalwa ngaphambi kokuhlolwa, njengoba ukubhema kunganciphisa imithambo yegazi yakho okwesikhashana.
- Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile (njengemithi yomfutho wegazi) isikhashana ngaphambi kokuhlolwa. Kodwa-ke, lokhu kufanele kwenziwe kuphela ngaphansi kweseluleko sikadokotela wakho.
Kwenzekani ngesikhathi sokuhlolwa?
Lena inqubo engenabuhlungu ethatha imizuzu engama-30 kuya kwengama-60. Ungakhathazeki, ngizokukhombisa okwenzekayo isinyathelo ngesinyathelo.
1. Ukulungiselela: Okokuqala, uzogqokiswa ingubo yasesibhedlela. Kuzodingeka ususe noma yibuphi ubucwebe noma ezinye izinto emzimbeni wakho.
2. Ukwazisa: Okulandelayo, uma uke wahlinzwa imithambo yegazi ngaphambilini, njengezinqubo ze-bypass, ukufakwa kwe-stent, noma i-angioplasty, kufanele utshele uchwepheshe oqhuba ukuhlolwa.
3. Ukulala embhedeni wokuhlolwa: Uzophoqeleka ukuthi uhlale noma ulale embhedeni wokuhlolwa.
4. Ukufaka ama-BP cuff: Okulandelayo, ama-blood pressure cuff abekwa ezingalweni zakho, emathangeni aphezulu nangaphansi, emathangeni, emaqakaleni, futhi ngezinye izikhathi ozwaneni lwakho olukhulu. Afana nama-cuff esiwagqoka lapho sithatha umfutho wegazi wethu.
5. Ukufaka ijeli: Okulandelayo, kufakwa ijeli ekhethekile emlenzeni esiza amagagasi e-ultrasound ukuthi adlule esikhumbeni kangcono.
6. Ukulinganisa ingcindezi: Manje faka umoya ku-BP cuff bese ulinganisa ingcindezi yakho yegazi. Kuleli qophelo, uzozwa i-cuff iqina kancane, kodwa ngeke uzwe ubuhlungu.
7. Ukuhlolwa kwe-Ultrasound: Ngesikhathi i-BP cuff iqinisiwe, uchwepheshe usebenzisa idivayisi encane ephathwa ngesandla (i-transducer) ukuyibeka ezindaweni ezahlukene emlenzeni ukuze ahlole ukuhamba kwegazi.
8. Ukuqapha imiphumela: Imininingwane evela kula maza omsindo iboniswa esikrinini sekhompyutha njenge-"waveforms." Udokotela usebenzisa ukuma kwala maza ukuze anqume ukuthi igazi lakho lihamba kanjani.
Ngezinye izikhathi, ungase ucelwe ukuthi uhambe kancane noma ume ngezinzwane zakho. Bona ukuthi ukujikeleza kwegazi lakho kushintsha kanjani ngalowo msebenzi.
Lokhu kuhlolwa kuphephile kakhulu, ngakho-ke asikho isizathu sokukhathazeka ngemiphumela emibi.
Kwenzekani ngemva kokuhlolwa? Ngizowuthola nini umbiko?
Uma nje ukuhlolwa kwe-PVR sekuphelile, ungaya ekhaya wenze yonke imisebenzi yakho evamile.
Uchwepheshe owenze ukuhlolwa uzosebenzisana nodokotela ukuze ahlaziye imiphumela yakho. Lokhu kungathatha noma yikuphi kusukela emahoreni ambalwa kuya ezinsukwini ezimbalwa. Ngakho-ke, buza udokotela wakho ukuthi ungalindela nini ukuthola umbiko.
Uthini umbiko we-PVR?
Udokotela wakho uzoqhathanisa kakhulu umfutho wegazi ezingalweni nasemilenzeni yakho .
- Okuvamile: Umfutho wegazi emilenzeni yomuntu ophilile kufanele ulingane noma uphakame kancane kunomfutho wegazi osezingalweni zakhe.
- Isimo esingavamile: Uma ngesizathu esithile umfutho wegazi emilenzeni yakho uphansi kakhulu kunasezingalweni zakho, kusho ukuthi kukhona ukuvaleka noma ukuncishiswa endaweni ethile emthanjeni othwala igazi liye emilenzeni yakho.
Futhi, ngokuqhathanisa ukufundwa kwengcindezi okuthathwe ezindaweni ezahlukene emlenzeni, udokotela angathola umbono oqondile wokuthi ngabe ukuvaleka kusethangeni, ngaphansi kwedolo, noma eduze kweqakala. Kodwa-ke, ukuhlolwa kwe-PVR akukwazi ukutshela ngqo ukuthi yimuphi umthambo wegazi ovalekile . Lokhu kungadinga olunye ukuhlolwa, njenge-Duplex Ultrasound.
Imibuzo okufanele uyibuze udokotela
Uma udokotela ethi kunenkinga ngombiko wakho we-PVR, ungesabi, vele ubuze le mibuzo ngokucacile.
- Ingabe ngisengozini yokuthola amahlule egazi ngenxa yalesi simo se-PAD?
- Inembile kangakanani imiphumela yalolu vivinyo lwe-PVR?
- Yiziphi izindlela zokwelapha enginazo? Ingabe ngizodinga ukushintsha indlela yokuphila, imithi, noma ukuhlinzwa?
- Ingabe kuzodingeka ngenze ezinye izivivinyo ezifana `(izivivinyo zokuthatha izithombe)`?
Ngezimpendulo zale mibuzo, ungaqonda kangcono isimo sakho, futhi kanye nodokotela wakho, nikhethe uhlelo lokwelapha olungcono kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqoshwa Kwevolumu Ye-Pulse (PVR) kuyindlela yokuhlola engenabuhlungu nephephile elinganisa ukuhamba kwegazi emithanjeni yemilenze yakho.
- Lokhu kuvame ukwenziwa ukuze kutholakale isimo esibizwa ngokuthi i-Peripheral Artery Disease (PAD) , esingabangela ubuhlungu emilenzeni lapho uhamba.
- Lokhu kuhlolwa akudingi noma yikuphi ukulungiselela okukhethekile, futhi ungaya ekhaya ngaphandle kokungakhululeki ngemva kokuhlolwa.
- Imiphumela ye-PVR inganika udokotela wakho umbono oqondile wokuthi kukhona yini ukuvaleka kwemithambo yegazi emlenzeni wakho nokuthi ikuphi.
- Uma futhi uzwa ubuhlungu emilenzeni yakho lapho uhamba, ungabunaki futhi ubone udokotela wakho ngokushesha ukuze akunike iseluleko.
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